Provider Demographics
NPI:1790075331
Name:KIM, SARAH SANGNIM RHEE (MD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:SANGNIM RHEE
Last Name:KIM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 SANTA MONICA BLVD STE 550
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90404-2125
Mailing Address - Country:US
Mailing Address - Phone:310-828-1050
Mailing Address - Fax:310-828-2382
Practice Address - Street 1:2020 SANTA MONICA BLVD STE 550
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404
Practice Address - Country:US
Practice Address - Phone:310-828-1050
Practice Address - Fax:310-828-2382
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-16
Last Update Date:2018-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA126173207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism